肺癌早期：腫塊標記異常與治療效果-腫瘤科

肺腺癌一期 腫瘤標記異常？

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醫生你好這是我媽咪那時候的病理報告
NOMED:
28000-B-M81403,29000-B-M09450

DX:
Lung, right middle lobe, wedge resection
----- Invasive acinar adenocarcinoma, moderately differentiated (G2)
AJCC 8TH Pathological stage: IA1 (pT1a Nx)
(also referring to S2022=92488)
Pleura, right middle lobe, wedge resection
----- Negative for malignancy

GROSS D:
The specimen consists of a wedge resection of right middle lung, measuring
3.0 x 2.2 x 1.5 cm and weighing 2.7 gm. The surface shows focal retraction
and fibrosis. It had been open and a tumor measuring 0.6 x 0.3 x 0.3 cm
located at 0.6 cm beneath the pleura and 0.6 cm from resection ends. The
tumor is ill-defined and appears whitish and solid.
All for sections and labeled as: 1: tumor; 2-3: non-tumor lung tissue.

MICRO D:
Procedure: Wedge resection
Synchronous Tumors: Not applicable
Tumor Site: Right middle lobe
Tumor Size (also referring to S2022=92488):
Total tumor size: 1.0 x 0.8 x 0.6 cm
Invasive tumor size: 0.8 x 0.6 x 0.6 cm
Tumor Focality: Single focus
Histologic Type: Invasive acinar adenocarcinoma
Percentage of each components: Lepidic (40 %), Acinar (60 %)
Histologic Grade:
Moderately differentiated (G2)
Margin:
All margins negative for invasive carcinoma
Distance of invasive carcinoma from closest margin: 0.6 cm
(Specify closest margin: parenchymal resection margin)
Direct invasion of adjacent structures:
Not applicable (No adjacent structures present)
Visceral pleural invasion:
The tumor does not invade the visceral pleura (PL0).
Lymphovascular invasion: Not identified
Perinerual invasion: Not identified
Spread through air spaces (STAS): Not identified

MICRO D(Cont):
Treatment Effect: No known presurgical treatment
Lymph node: No lymph node submitted
Non-tumor Parenchyma:
The non-tumorous parenchyma does not show significant pathological
change.

Pathologic Stagining (pTNM)
Primary tumor (pT)
pT1a: Tumor ＜=1 cm or less in greatest dimension
Regional lymph node (pN)
pN not assigned (no nodes submitted or found)
Distant metastasis (pM)
Not applicable - pM cannot be determined from the submitted specimen(s)
Pathological stage: IA1 (pT1a Nx) (AJCC 8th)

Additional pathological findings: Lymphocytic infiltration

打字員：病理醫師：李沛航
尚有報告： 病解專醫字：第0610 號

今年的CT
Indication: lung ca s/p lobectomy for follow-up study

This imaging study has been compared with previous CT on 2023/06/12.
Chest CT without and with IV contrast enhancement study shows:
Techniques:
From lower neck to diaphragmatic level in 3-mm contiguous section for
preenhanced and enhanced CT
Coronal (3mm) and sagittal (5mm) reconstruction performed

Imaging findings:

s/p RML wedge resection.
Stable tiny RUL, RML, RLL nodules (＜3mm)
Blebs up to 14mm in the both lung
No definite pneumothorax.
No definite pleural effusion.
No definite pericardial effusion.
No definite enlargement of mediastinal LNs.
No definite adrenal mass.
No definite enlarged lymph nodes noted in the upper retroperitoneum

Impression:
* s/p RML wedge resection
* Stable tiny RUL, RML, RLL nodules (＜3mm)

但公司健康檢查加做
CEA 1.56 每次回診都有做都正常
CA-125 25.7
CA153 12.3
CA199 12.3
Cyfea21-1 4.11 大於標準3.3 (第一次測)
原本醫生預計10月回診，請問我該先帶我媽咪回門診嗎?
會是復發嗎，好擔心請你幫我解惑，謝謝

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黃科家，20~29歲男性，詢問日期：2024/04/25